Provider Demographics
NPI:1528571023
Name:EVEREST HOME HEALTH & HOSPICE LLC
Entity Type:Organization
Organization Name:EVEREST HOME HEALTH & HOSPICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:R
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-839-8092
Mailing Address - Street 1:14970 W INDIAN SCHOOL RD STE 230
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-7819
Mailing Address - Country:US
Mailing Address - Phone:623-282-9255
Mailing Address - Fax:
Practice Address - Street 1:14970 W INDIAN SCHOOL RD STE 230
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85395-7819
Practice Address - Country:US
Practice Address - Phone:623-282-9255
Practice Address - Fax:623-282-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-07
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZHSPC8508207QH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative MedicineGroup - Single Specialty